Service Tree

The Service Tree lists all services in "branched" groups, starting with the very general and moving to the very specific. Click on the name of any group name to see the sub-groups available within it. Click on a service code to see its details and the providers who offer that service.

Spasticity Management Clinics

Taxonomy Code: LT-1750.8200

Programs that provide comprehensive assessment, diagnostic and/or treatment services for individuals who have spasticity, a condition in which certain muscles are continuously contracted that causes stiffness or tightness of the muscles and may interfere with movement, speech, and manner of walking. Spasticity is usually caused by damage to the portion of the brain or spinal cord that controls voluntary movement. It may occur in association with spinal cord injury, multiple sclerosis, cerebral palsy, damage to the brain because of lack of oxygen, brain trauma, severe head injury, and metabolic diseases such as adrenoleukodystrophy, amyotrophic lateral sclerosis (Lou Gehrig's disease), and phenylketonuria. Symptoms may include hypertonicity (increased muscle tone), clonus (a series of rapid muscle contractions), exaggerated deep tendon reflexes, muscle spasms, scissoring (involuntary crossing of the legs), and fixed joints. Treatment may include anti-spasticity medications such as baclofen, diazepam, tizanidine or clonazepam; botulinum toxin injections; physical, occupational and speech therapies; upper and/or lower extremity bracing; spinal bracing; wheelchair evaluations and positioning devices; EMG biofeedback; and/or functional electrical stimulation. Physical therapy regimens may include muscle stretching and range of motion exercises to help prevent shrinkage or shortening of muscles and to reduce the severity of symptoms. Surgery may be recommended for tendon release or to sever the nerve-muscle pathway.

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